| NPI | 1801304423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71007739A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28167123A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007739A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024186662) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-03-13 |