| NPI | 1770680860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN043007) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: GA R043007) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-04-25 |