| NPI | 1093320715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 28098) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28098) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-07-28 |