NPI | 1477806461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA rn186907) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN186907) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2025-02-12 |