| NPI | 1861084881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN188664) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN188664) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN188664) | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2025-09-11 |