| NPI | 1811977499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN RN0000087880) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6546) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2011-12-02 |