| NPI | 1184202590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 2020146547) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202104748NP-PP) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-08-08 |