| NPI | 1437639192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61310020) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN228318) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN228318) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-06-29 |