| NPI | 1265688055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001442A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71001442A) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2019-02-13 |