| NPI | 1841747946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN169588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN169588) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: GA RN169588) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2025-09-11 |