NPI | 1962199778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN262420) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN262420) |
Enumeration Date | 2023-04-20 |
Last Update Date | 2025-01-09 |