| NPI | 1689207623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN262397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN23615) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC APN23615) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024185385) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024185385) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2025-07-22 |