| NPI | 1720685910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 28376) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TN 240759) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3016599) | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2021-10-06 |