| NPI | 1114585940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN227381) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11002836) |
| 363LF0000X Nurse Practitioner Family (Licence: GA RN227381) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-07-08 |