| NPI | 1578965935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD 363LP0808X) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN214875) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001300) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2024-04-25 |