| NPI | 1588080121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 28143926A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71004884A) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71004884A) | |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2024-03-26 |