| NPI | 1831363266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000013467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 157306) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2019-10-04 |