| NPI | 1922877091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 36566) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000247972) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2024-07-10 |