| NPI | 1386758621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP017461) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: WV APRN774259-GNP-BC) |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: PA RN246499L) | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: WV 74259) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-07-21 |