| NPI | 1427577550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 23573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1123209) |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2018-01-08 |