| NPI | 1326283763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN13879) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN0000013879) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2012-01-03 |