NPI | 1306299268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN217223) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2345725) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002066-C-NP) | |
163W00000X Registered Nurse (Licence: GA RN 217223) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI 05031) | |
Enumeration Date | 2016-07-15 |
Last Update Date | 2022-12-02 |