| NPI | 1588092142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000190142) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2021-04-29 |