| NPI | 1740826643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP001676) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344819-01) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2024-08-29 |