| NPI | 1063093870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30216) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904814) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MS 888566) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2025-07-25 |