| NPI | 1194100842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9412841) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9412841) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9412841) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2016-02-09 |