| NPI | 1780816736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71003057A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003057A) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 28126755A) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2019-01-28 |