| NPI | 1568707370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71010910A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1103245) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010910A) | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2023-03-02 |