| NPI | 1114439627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27740) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN 216070) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 25262) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-01-21 |