| NPI | 1811191331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000141222) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014898) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-09-11 |