| NPI | 1740638733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21284) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000180558) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-11-13 |