NPI | 1871056457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71009461A) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184191) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28185255A) | |
Enumeration Date | 2019-04-10 |
Last Update Date | 2022-11-10 |