| NPI | 1376948489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024177008) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 224951) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024177008) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2021-07-21 |