| NPI | 1841759263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25538) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 24183558) |
| 363L00000X Nurse Practitioner (Licence: TN 25538) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2023-07-20 |