NPI | 1770512642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TN APN6995) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN006995) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2020-01-14 |