| NPI | 1174270953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 209777) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA 209777) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA 209777) | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2023-11-04 |