| NPI | 1770638397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA RN074324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN74324) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-03-16 |