| NPI | 1891785523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 22182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN059534 CNS/PMH NP) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN059534 CNS/PMH NP) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2019-05-20 |