| NPI | 1578287744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 32672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 257285) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 2022060149) | |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2023-06-06 |