| NPI | 1174125637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN252467) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: GA RN252467) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: GA RN252467) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA RN252467) | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2022-01-18 |