| NPI | 1366894867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN255430) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN255430) |
| 163W00000X Registered Nurse (Licence: FL RN9341570) | |
| 163W00000X Registered Nurse (Licence: NC 258977) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2019-12-30 |