| NPI | 1750033684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN222212) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN222212) |
| 163WG0000X Registered Nurse, General Practice (Licence: GA RN222212) | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2023-10-19 |