| NPI | 1184375164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024183549) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001257289) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-25 |