| NPI | 1306332952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN325139) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012087) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN325139) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3012087) | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2024-12-18 |