| NPI | 1598730814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN124526) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN124526) |
| 363L00000X Nurse Practitioner (Licence: GA RN124526) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-03-07 |