| NPI | 1528008893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71001901A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001901) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71001901A) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-08-20 |