NPI | 1750625539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 17018) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17018) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024171150) | |
Enumeration Date | 2012-11-19 |
Last Update Date | 2025-05-12 |