| NPI | 1730724295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71010248A) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: IN 28196190A) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2020-08-20 |