| NPI | 1700565876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34282) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 243030) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5023481) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2025-12-12 |