NPI | 1366969271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007085A) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71007085A) |
363L00000X Nurse Practitioner (Licence: IN 71007085A) | |
Enumeration Date | 2017-08-23 |
Last Update Date | 2024-11-07 |