| NPI | 1841777810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25879) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 25879) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000785) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2025-06-13 |