| NPI | 1700539418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71014902A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3017211) |
| 363L00000X Nurse Practitioner (Licence: IN 71014902A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3017211) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-02-27 |