NPI | 1881806594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN112816) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN112816) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0104515-C-NP) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2025-08-25 |