| NPI | 1740443084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 12527) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VI 0024172842) |
| 363LF0000X Nurse Practitioner Family (Licence: TN 12527) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2019-04-03 |