| NPI | 1598526394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 37308) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: TN 0000233437) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2025-06-09 |