| NPI | 1366177958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 32277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000183522) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-03-01 |