| NPI | 1780202028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000029787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000187933) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-03-01 |