| NPI | 1871657395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH COA.14637-NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TN RN151924) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN12422) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2014-05-29 |