| NPI | 1124378724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP11199) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: AZ AP11199) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2023-11-07 |