| NPI | 1073840021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R854233) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS R854233) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2023-02-21 |