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