| NPI | 1083079453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL CP.17240) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA rn209490) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 9475102) | |
| 2084P0805X (Licence: AL 1-127798) | |
| 2084P0805X (Licence: GA RN209490) | |
| 2084P0805X (Licence: FL 9475102) | |
| 363L00000X Nurse Practitioner (Licence: AL 1-127798) | |
| 363L00000X Nurse Practitioner (Licence: GA rn209490) | |
| 363L00000X Nurse Practitioner (Licence: FL 9475102) | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2019-05-22 |