| 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 |