| NPI | 1619385788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 2020127987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19003) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2023-05-06 |