| NPI | 1831541754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN189319) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 2019082358) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA F06162151) | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2020-05-22 |