| NPI | 1578941639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: GA RN163956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN163956) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2015-05-09 |