| NPI | 1851891873 |
|---|---|
| Former Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61148148) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA NCO-000001) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN216723) | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2023-07-31 |