| NPI | 1457017246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30607) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL TPAN3345) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 69746) | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2025-12-09 |