| NPI | 1013353499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004625A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28160965A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004625A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28160965A) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-09-21 |