| NPI | 1407643786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA NP248718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN248718) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-11-15 |