| NPI | 1518577550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN305186) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY F383037) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-11-11 |