| NPI | 1841601010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN218926) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN218926) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2015-10-20 |