| NPI | 1982936175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71005350A) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: IN 71005350A) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2022-10-21 |