| NPI | 1548532203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA RN212250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN212250) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2020-05-05 |