| NPI | 1467995613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000021689) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21689) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2025-05-09 |