| NPI | 1497940449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002482A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002482A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71002482A) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2025-02-17 |