| NPI | 1780061325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005532A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28174667A) |
| 363L00000X Nurse Practitioner (Licence: IN 71005532A) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2021-06-22 |