NPI | 1598730814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN124526) |
Additional Taxonomies | 171400000X Health & Wellness Coach |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN124526) | |
363L00000X Nurse Practitioner (Licence: GA RN124526) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2024-11-07 |