| NPI | 1003312257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN247888) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN247888) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 837214-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 61246611) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN247888) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-09-19 |