NPI | 1548901689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN257339) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: GA RN257339) |
2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: GA RN257339) | |
Enumeration Date | 2022-04-05 |
Last Update Date | 2022-04-05 |