| NPI | 1194770024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 000196) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN7656) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2009034350) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 7656) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 184206) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-12-06 |