| NPI | 1881248664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25887) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25587) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184054) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184054) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2025-11-21 |