| NPI | 1326676438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA APRN-NP291294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN291294) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-10-23 |