| NPI | 1003090150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN241756) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 5796691) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN241756) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95029693) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11034073) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2025-03-12 |