| NPI | 1316559032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 28463) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 166380) |
| 363L00000X Nurse Practitioner (Licence: TN 28463) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-02-01 |