| NPI | 1447680848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G095579) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H095579) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J095579) | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2021-05-24 |