| NPI | 1720457245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71007137A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 203063) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20647) | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2022-06-02 |