| NPI | 1982029351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9167043) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010861) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9167043) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9167043) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2019-11-08 |