| NPI | 1568006534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-142162) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11023341) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN274341) | |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2024-07-24 |