| NPI | 1447245956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN7381) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 72716531) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN RN109928) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN7381) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2023-11-03 |