| NPI | 1245856194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN177166) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: GA PHCP010678) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2025-04-23 |