| NPI | 1154966067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903710) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 26839) |
| 363L00000X Nurse Practitioner (Licence: MS 903710) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 26839) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2024-10-20 |