| NPI | 1841747946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN169588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN169588) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2020-12-04 |