| NPI | 1295196673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008279A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008279A) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71008279A) | |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2023-11-17 |