| NPI | 1033366364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: GA RN302799) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN302779) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9189741) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN302779) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2024-10-15 |