| NPI | 1164883500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000212361) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10015446) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704416578) | |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2024-05-28 |