NPI | 1093126708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN202394) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN202394) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2020-05-14 |