| NPI | 1770512642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/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 |