| NPI | 1174961205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000017614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN160242) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2015-02-09 |