| NPI | 1194586925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 38957) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN04422) |
| 163W00000X Registered Nurse (Licence: TN 0000274078) | |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2025-11-07 |