| NPI | 1760051239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 218249) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-02-02 |