| NPI | 1093121998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006983) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006983) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5006983) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2026-05-22 |