NPI | 1558701458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN203586) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203586) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61321033) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2025-08-01 |