| NPI | 1255877932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 9281329) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL 9281329) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2025-05-05 |