| NPI | 1477027407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25558) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024177400) |
| 163W00000X Registered Nurse (Licence: TN 205246) | |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2019-07-23 |