| NPI | 1093019952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71003500A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003500A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ pending) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184018) | |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2024-03-24 |