| NPI | 1003172719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71003954A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003954A) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2021-03-30 |