| NPI | 1053899179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL APRN9296204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 9296204) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9296204) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-08-02 |