| NPI | 1023004140 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 70000079A)  | 
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IN 70000079A)  | 
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000079A)  | |
| Enumeration Date | 2005-09-23 | 
| Last Update Date | 2024-12-27 |