| NPI | 1255819926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN PMH12250091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F01180214) |
| 363L00000X Nurse Practitioner (Licence: TN APN23809) | |
| 363L00000X Nurse Practitioner (Licence: AZ 337903) | |
| 363L00000X Nurse Practitioner (Licence: MT 287587) | |
| 163W00000X Registered Nurse (Licence: TN 211979) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2026-08-04 |