| NPI | 1821505660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902436) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902436) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000763) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000763) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2025-06-24 |