| NPI | 1639142649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 70000179A) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: IN 70000179A) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000179B) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2023-11-27 |