| NPI | 1548861909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000028392) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904289) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 28392) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2024-08-16 |