| NPI | 1720343767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN253774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 187432) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2018-09-19 |