| NPI | 1235989203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 40586) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 272937) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2026-08-27 |