| NPI | 1447652862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL ARNP9284115) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9284115) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9284115) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9284115) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2022-10-21 |