| NPI | 1699927798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 2845912) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2845912) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2845912) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-03-06 |