| NPI | 1407963374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 28715) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 58700) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-01-07 |