| NPI | 1548458227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN252769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000157340) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000013176) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2021-09-04 |