| NPI | 1316476872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23448) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 173987) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024190340) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-06-18 |