| NPI | 1821378381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN269221) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: GA PHTC000556) |
| 163W00000X Registered Nurse (Licence: GA RN269221) | |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2024-01-28 |