| NPI | 1447797600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN230389) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN230389) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM 55952) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2024-01-17 |