| NPI | 1144010844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN PMH04250028) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000182440) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN F03240605) | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |