| 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 |