| NPI | 1629713375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA GAA-NP002174) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 31557) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2024-05-16 |