| NPI | 1154735462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN281165) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN281165) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN281165) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2025-10-10 |