| NPI | 1902809361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001369A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28130880A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71001369A) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000216A) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-02-22 |