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