| NPI | 1982330486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 39112) |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: TN 248117) |
| 163W00000X Registered Nurse (Licence: TN 248117) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2025-07-16 |