| NPI | 1336237320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71000376A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000376) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-07-16 |