NPI | 1417565169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TN RN00001483) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN RN00001483) |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TN RN00001483) | |
Enumeration Date | 2020-07-20 |
Last Update Date | 2020-07-20 |