| NPI | 1861960676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-145796) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN292059) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 234213) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-145796) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 292059) | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2024-06-24 |