| NPI | 1386283588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN05043) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN280141) |
| 163W00000X Registered Nurse (Licence: GA RN280141) | |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2026-03-18 |