| NPI | 1598280968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71007436A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007436A) |
| 163WG0000X Registered Nurse, General Practice (Licence: IN 28129138A) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2024-04-11 |