| NPI | 1396839429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 0000008121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000129156) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3008447) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-10-20 |