| NPI | 1396214060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN CV2100304) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402966v) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-147364) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95010591) | |
| Enumeration Date | 2018-11-24 |
| Last Update Date | 2022-04-22 |