| NPI | 1861138455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 32283) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 32283) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 210711) | |
| 363L00000X Nurse Practitioner (Licence: TN APN32283) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN TBD) | |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2023-08-21 |