| NPI | 1790318848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 27023) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014418) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 27023) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2025-12-02 |