| NPI | 1548955271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA PMH08240005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR17238100) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN302178) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ PMH08240005) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-08-18 |