| NPI | 1821866401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4025009) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 36635) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN0000200386) | |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-10-01 |