| NPI | 1396156188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN297748) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 754102) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407106) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2025-07-19 |