| NPI | 1902457971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN241174) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN241174) |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2023-10-20 |