| NPI | 1841576139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP001724) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003844) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 24199) | |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2026-08-28 |