| NPI | 1811418833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 35469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000211772) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-08-13 |