| NPI | 1194307710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 33076) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 0000202689) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2023-09-20 |