| NPI | 1265190615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 35136) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 235074) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2024-05-09 |