| NPI | 1194607648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP003960) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9421636) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-08-27 |