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 |