| NPI | 1912970625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000562A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 71000562A) |
| 2084P0805X (Licence: IN 71000562A) | |
| Enumeration Date | 2006-02-12 |
| Last Update Date | 2018-08-02 |