NPI | 1093360851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000025986) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000205421) |
363L00000X Nurse Practitioner (Licence: TN APN0000025986) | |
363LF0000X Nurse Practitioner, Family (Licence: TN APN0000025986) | |
Enumeration Date | 2019-08-07 |
Last Update Date | 2025-08-15 |