NPI | 1043825789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28223612A) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 207qa0401X) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 363LP0808X) | |
Enumeration Date | 2020-09-10 |
Last Update Date | 2023-01-22 |