| NPI | 1265085641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11002761) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 11002761) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL 11002761) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2023-12-12 |