| NPI | 1447273255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ND R50899) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 539050) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP111274) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: ND R50899) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-12-03 |