| NPI | 1730578436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005241A) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: IN 2808640317) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2022-03-18 |