| NPI | 1063785251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN333031) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5010945) |
| 363L00000X Nurse Practitioner (Licence: NC 5010945) | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2025-06-19 |