| NPI | 1538333695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 22343A) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: GA RN182772) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 182772) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11000933) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2020-10-22 |