| NPI | 1871763805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN271092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR 74243) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA R271092) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2023-03-18 |