| NPI | 1154488203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 600084) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 070921) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 600084) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 600084) | |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2012-06-29 |