| NPI | 1942643028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 17547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17547) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2014-10-16 |