| NPI | 1073627485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14993) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 128026) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IA 128935) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G128935) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2016-06-10 |