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 |