| NPI | 1093320715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 28098) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 28098) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95033437) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2025-08-19 |