| NPI | 1821344557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN225022) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: GA RN225022) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN225022) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA RN225022) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10318) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95014791) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2020-12-28 |