| NPI | 1487021911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN200458) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 826486) |
| 163W00000X Registered Nurse (Licence: GA RN200458) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2025-10-14 |