| NPI | 1457744849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28123520A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005421A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002958-C-NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28123520A) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2023-01-26 |