| 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 |