| NPI | 1457943813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN219825) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN219825) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN219825) | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-02-02 |