| NPI | 1720318868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012234) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000173093) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14608) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2024-02-16 |