| NPI | 1003331208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 22983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 183218) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 22983) | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-06-05 |