| NPI | 1093494445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34280) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5021731) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4031772) | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2025-05-30 |