| NPI | 1376357038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 39525) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 251979) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4045291) | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-09-24 |