| NPI | 1700506565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 287482) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61240711) |
| 163W00000X Registered Nurse (Licence: GA 287482) | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-11-07 |