NPI | 1053616292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN16843) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 154316) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP7769) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 2012002552) | |
Enumeration Date | 2011-01-19 |
Last Update Date | 2024-06-06 |