| NPI | 1306391198 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA APRN-NP214571) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN214571) | 
| Enumeration Date | 2016-08-22 | 
| Last Update Date | 2025-10-27 |