| NPI | 1760135487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11029804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN325081) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP001912) | |
| 163W00000X Registered Nurse (Licence: FL RN9525472) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-02-19 |