| NPI | 1275106429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 0000024733) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11029671) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 24733) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189008) | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2025-12-09 |