| NPI | 1801875190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 7510) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN RN0000113561) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN 113561) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2022-11-04 |