| NPI | 1528611365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN243653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN243653) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2021-09-27 |