| NPI | 1124331640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN210418) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN210418) |
| 163W00000X Registered Nurse (Licence: GA RN210418) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2023-06-02 |