| NPI | 1437870284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 301932) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 66256) |
| 163W00000X Registered Nurse (Licence: GA 301932) | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2024-12-30 |