| NPI | 1346426798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000013292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000124702) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2012-02-24 |