| NPI | 1285225300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 27966) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 27966) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-10-24 |