| NPI | 1083966717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9266389) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9266389) |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: FL APRN9266389) | |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2022-12-21 |