| NPI | 1881142784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN0000031288) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 220356) |
| 164W00000X Licensed Practical Nurse (Licence: TN 82404) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2022-04-16 |