| NPI | 1467890855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R174288) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R174288) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R174288) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2022-04-11 |