| NPI | 1609183987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71003815A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 15146) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3008357) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2013-11-11 |