| NPI | 1154544724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 13728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 125356) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 13728) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3007314) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007314) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-01-24 |