| NPI | 1689042988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN127589) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN127589) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN127589) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2024-07-08 |