| NPI | 1881217883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP002443) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1056304) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 853096) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2025-11-14 |