| NPI | 1205429941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NPO00690) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA GAA-NPO00690) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: GA GAA-NPO00690) | |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2025-07-23 |