| NPI | 1083064737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN223280) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN223280) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 2001708004NP-PP) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2023-12-27 |