NPI | 1407210156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: GA RN20985) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: AZ 293164) |
363LF0000X Nurse Practitioner Family (Licence: GA 209085) | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2023-10-04 |