| NPI | 1447658182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11045650) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11045650) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11045650) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2026-03-30 |