| NPI | 1437309861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN106135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN106135) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-08-01 |