| NPI | 1740560564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 16049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000091524) |
| 363LF0000X Nurse Practitioner Family (Licence: TN APN0000016049) | |
| 376G00000X Nursing Home Administrator (Licence: TN NHA0000003209) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2021-08-30 |