| NPI | 1831277573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71002315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002315A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002315A) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-05-10 |