| NPI | 1407428667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN107169) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9433970) |
| 163W00000X Registered Nurse (Licence: GA RN107169) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11014238) | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-05-11 |