| NPI | 1518470590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 157242) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 23529) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 23529) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2025-06-13 |