| NPI | 1669198263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 31870) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 236396) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018178) | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-02-02 |