| NPI | 1063435683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 600013) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 11529) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 600013) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-03-29 |