| NPI | 1861621922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN261652) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: GA RPH023674) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS30545) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: AL 15480) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN261652) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2022-12-28 |