| NPI | 1508340456 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN330783) | 
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: GA RN330783) | 
| 171400000X Health & Wellness Coach (Licence: GA RN330783) | |
| Enumeration Date | 2018-09-17 | 
| Last Update Date | 2024-10-24 |