| NPI | 1215025481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201909694np-pp) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001743A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71001743A) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71001743A) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-11-21 |