| NPI | 1265783799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28092680A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1057497) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004250A) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2022-09-23 |