| NPI | 1225136047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005408A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400638) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005408B) | |
| 163W00000X Registered Nurse (Licence: IN 28221484A) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-07-13 |