| NPI | 1982770467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 041244) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 041244) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 041244) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |