| NPI | 1356764088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 18343) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18343) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18343) | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2024-08-07 |