| NPI | 1649638388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71014547A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130235) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2023-12-14 |