| NPI | 1417119199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: GA RN110079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN110079) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2016-12-01 |