| NPI | 1548584683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004285A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004285A) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9481290) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9481290) | |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2024-11-03 |