| NPI | 1053725085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008261A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184959A) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-10-11 |