| NPI | 1578595120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004287A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7497) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN7497) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-08-02 |