| NPI | 1922145283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN7647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN116297) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-07-21 |