| NPI | 1831086248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN332014) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209034431) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA APRN-NP332014) | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2026-02-20 |