| NPI | 1497123343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901502) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20245) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 901502) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2023-03-07 |