NPI | 1578153235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN229022) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: GA rn229022) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 229022) | |
Enumeration Date | 2021-01-26 |
Last Update Date | 2023-05-22 |