| NPI | 1851777015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30270) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000195115) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2021-09-09 |