| NPI | 1871908095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 2021014950) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 207446) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA APRN207446) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-04-01 |