NPI | 1447751946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 24673) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 890717) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902533) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000024673) | |
Enumeration Date | 2018-02-21 |
Last Update Date | 2023-03-07 |