| NPI | 1306243779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TN 19792) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 182587) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 182587) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2019-02-27 |