| NPI | 1457679144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 165649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN165649) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 165649) | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2022-03-14 |