NPI | 1356757793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004996A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28166000A) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2023-07-18 |