| NPI | 1144450727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14378) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 145997) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005177) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2013-05-30 |