| NPI | 1598427932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 2023193356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 30159) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30159) | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2024-01-29 |