| NPI | 1275078529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN219438) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 304084) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 219438) | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2024-08-12 |