| NPI | 1366565004 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IN 28071739A) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000681a) | 
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71000681a) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IN 28071739A) | |
| Enumeration Date | 2007-04-09 | 
| Last Update Date | 2019-10-28 |