| NPI | 1417592205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 23336) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23336) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN262065) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN262065) | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2024-11-04 |