| NPI | 1992280622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 269865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24778) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 269865) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 24778) | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-07-26 |