| NPI | 1669139242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000866) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9344972) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 275512) | |
| 163W00000X Registered Nurse (Licence: GA RN329997) | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-08-01 |