| NPI | 1568948339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN254363) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX APRN-CMP1213980) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2025-09-24 |