| 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 Psychiatric/Mental Health, Child & Adolescent (Licence: TN RN00001483) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |