| NPI | 1255336269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013097A) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NC 201316) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71013097A) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-08-08 |