| NPI | 1548445562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 19834) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000124100) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2018-05-17 |