| NPI | 1801320452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11002167) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11002167) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN225861) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2022-12-01 |