| NPI | 1740007269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP288244) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA rn288244) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN288244) | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2025-11-21 |