| NPI | 1851891667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71007770A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007770A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007770a) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2024-03-04 |