| NPI | 1710508254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN27223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 27223) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-03-04 |