| NPI | 1023004140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 70000079A) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000079A) |
| 364S00000X Clinical Nurse Specialist (Licence: IN 70000079A) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2023-11-02 |