| NPI | 1205162161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000013369) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000013369) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-75859-051) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-75859) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2023-08-23 |