| NPI | 1184711293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 06488) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN06488) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-10-15 |