NPI | 1154749638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004930A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28165403A) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004930A) | |
Enumeration Date | 2014-04-02 |
Last Update Date | 2023-11-27 |