| NPI | 1700302445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 811435) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AG08170019) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 811435) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2023-01-16 |