| NPI | 1467682633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 005926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 5926) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CT 005926) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 5926) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2025-11-13 |