| NPI | 1306044235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN RN0000093630) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000012881) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-11-12 |