| NPI | 1922259613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN234567) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA APRN10005294) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 13630) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN234567) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202211701NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3010005) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2025-12-04 |