| NPI | 1245436567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000686A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704262125) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71000686A) | |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2024-05-29 |