| NPI | 1962806885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN197092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN197092) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2022-07-21 |