| NPI | 1255901443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704244951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 7101400A) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 7101400A) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-07-16 |