| NPI | 1831812056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP002105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 787163) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2024-06-03 |