| NPI | 1780926923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 33515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 187047) |
| 163WC1500X Registered Nurse, Community Health (Licence: TN 187047) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2024-03-01 |