| NPI | 1255384228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 002546) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002546) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 002546) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-11-21 |