| NPI | 1487169173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2362195) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN214255) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN214255) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2025-04-29 |