| NPI | 1760995302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71014088A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95079982) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN F09220733) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2024-03-08 |