| NPI | 1043825789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28223612A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 363LP0808X) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 207qa0401X) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-08-06 |