| NPI | 1962924530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 25653) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9294061) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9294061) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2026-05-27 |