NPI | 1306520333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 2023102222) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN211826) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2025-06-07 |