| NPI | 1801434691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN212407) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA 212407) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 403115) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2023-11-13 |