| NPI | 1316339138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN199543) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: GA RN199543) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN199543) | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2025-11-30 |