| NPI | 1700268836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005711A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005711A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024187300) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2024-02-21 |