| NPI | 1063938074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN267461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN267461) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2025-07-26 |