| NPI | 1487015376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA APRN-NP266928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN266928) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5008450) | |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2025-10-23 |