| NPI | 1235639535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA APRN-NP284947) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 740849) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 740849) | |
| 163W00000X Registered Nurse (Licence: GA RN284947) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2025-10-23 |