| NPI | 1356483655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN12740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 151812) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-03-10 |