| NPI | 1194955757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN #71001329A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN #71001329A) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 28108484A) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2013-03-11 |