| NPI | 1013094093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 18764) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN LSW0000003700) |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: TN APN0000017669) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5009551) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 202112142NP-PP) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-01-27 |