| NPI | 1437124658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-1387A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28119323A) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1387A) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2025-04-03 |