| NPI | 1851867568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN241135) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA rn241135) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN241135) | |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2023-07-10 |