| NPI | 1407262306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20796) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN 20796) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2024-01-29 |