NPI | 1821505660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000763) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000763) |
363LF0000X Nurse Practitioner, Family (Licence: MS 902436) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902436) | |
Enumeration Date | 2018-01-02 |
Last Update Date | 2024-02-28 |