| NPI | 1396318317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 42571) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN 0000238645) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2026-07-22 |