| NPI | 1356848196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 172012) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |