| NPI | 1134254790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN259194) |
| Additional Taxonomies | 104100000X Social Worker |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN259194) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-06 |