| NPI | 1669872792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18997) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 18997) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18997) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2022-04-14 |