| NPI | 1558617381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NE 111230) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NE 111230) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2016-03-25 |