| NPI | 1609333509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN200693) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: KS 53-78383-111) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN200693) | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2025-07-17 |