| NPI | 1467730218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R134703) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R134703) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R134703) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2018-05-29 |