| NPI | 1598289860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN217527) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA RN217527) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012244) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2020-02-12 |