| NPI | 1215175278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN13513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13513) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN13513) | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2021-09-07 |