| NPI | 1316044472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP1397802) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP1397802) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-12-29 |