| NPI | 1932261385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000015697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000173193) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2011-04-11 |