| NPI | 1710381264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19161) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 19161) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902949) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2023-01-26 |