| NPI | 1033694955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 213891) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: LA RN097415) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 213891) | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2024-10-24 |