| NPI | 1386341410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN183997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN183997) |
| 208M00000X Hospitalist (Licence: GA RN183997) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN183997) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN183997) | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-10-09 |