| NPI | 1003490764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA 250999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN250999) |
| 163WH0200X Registered Nurse Home Health (Licence: GA RN250999) | |
| 163WH1000X Registered Nurse Hospice (Licence: GA RN250999) | |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: GA RN250999) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: GA RN250999) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN250999) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2023-06-11 |