| NPI | 1609231604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 32123) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: TN 0000160621) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: TN RN160621) | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2022-12-01 |