| NPI | 1033712195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000033013) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN258479) |
| 163W00000X Registered Nurse (Licence: GA RN258479) | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2023-05-25 |