| NPI | 1841700382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN239041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012190) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN239041) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-157770) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2361712) | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2023-12-11 |