| NPI | 1144573668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25649) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11026569) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN0000188916) | |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2025-10-20 |