| NPI | 1548504129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL FL9255411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL FL9255411) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9255411) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2024-11-01 |