| NPI | 1639548241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 203108) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-10-08 |