| NPI | 1255425922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000032347) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MS R789934) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 905512) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000032347) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 905512) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-03-21 |