| NPI | 1649700063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AR A005177) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR R005177) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2025-12-10 |