| NPI | 1174707947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005213A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28114108A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28114108C) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2023-09-06 |