| NPI | 1366648156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 118311) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: GA 118311) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2017-02-22 |