| NPI | 1669608725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 13641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013641) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2025-06-12 |