| NPI | 1578751533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL NPP37433) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP37433) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 990285) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R221193) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2024-01-26 |