| NPI | 1568587384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN0000013175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000157422) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-07-15 |