| NPI | 1487022703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 186078) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3011832) | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2019-06-25 |