| NPI | 1902478852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN081978) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN081978) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2023-11-16 |