| NPI | 1891435715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 28145022A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 28145022A) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-12-07 |