| NPI | 1407402910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN198395) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC002939) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012108) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2024-04-02 |