| NPI | 1275343287 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA NP004134) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70012261) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11037107) | |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-11-12 |