| NPI | 1093506701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN170538) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN170538) |
| 163W00000X Registered Nurse (Licence: GA RN170538) | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-10-10 |