| NPI | 1366748212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G166235) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J-121837) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2023-05-22 |