| NPI | 1154771541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21806) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000191368) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 21806) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-03-07 |