| NPI | 1700262896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20333) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 20333) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 20333) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2023-09-14 |