NPI | 1932483344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN158213) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN158213) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2025-06-05 |