| NPI | 1235369380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71002987A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002987A) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71002987A) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2024-07-31 |