| NPI | 1891044533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000036254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000189173) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2024-07-02 |