| NPI | 1124412788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN169167) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 169167) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2023-10-11 |