| NPI | 1275262271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN289499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002432) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA RN289499) | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-06-30 |