| NPI | 1518104397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 24685) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN149846) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 149846) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 113543) | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2021-06-01 |