NPI | 1710390539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18730) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18730) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2022-11-15 |