| NPI | 1083716674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-027030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000011876) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-027030) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2019-06-26 |