| NPI | 1841079613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN238583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN238583) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: GA RN238583) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN238583) | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-05-14 |