| NPI | 1235444290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000024668) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 175838) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2023-01-23 |