| NPI | 1548972649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10030592) |
| 163W00000X Registered Nurse (Licence: TN 266142) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10030592) | |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2024-09-08 |