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 |