| NPI | 1124087879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN136273) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA rn136273) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN136273) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA rn136279) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2025-10-31 |