| NPI | 1164930863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN23778) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN APN23778) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2023-09-14 |