| NPI | 1255544581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN296651) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN059204) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-12-12 |