| NPI | 1720692494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71014109A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704299093) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704299093) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV 863235) | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-03-13 |