| NPI | 1093272593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71009162A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704337445) |
| 363LF0000X Nurse Practitioner Family (Licence: MI 4704337445) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2021-07-06 |