NPI | 1407542087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RNN316622) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN316622) |
Enumeration Date | 2023-04-17 |
Last Update Date | 2025-10-09 |