| NPI | 1801342357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 39955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 198513) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2025-10-31 |