| NPI | 1821497744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9466633) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000018852) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18852) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018852) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18852) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9466633) | |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2022-10-04 |