| NPI | 1720647035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN187184) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA W51662) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC002764) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC005185) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-03-16 |