| NPI | 1538697511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9254711) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APN9254711) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-12-27 |