| NPI | 1437861168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP003512) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA GAA-NP001222) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2025-09-15 |