| NPI | 1245586718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004057A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28144086A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004057A) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2021-05-21 |