| NPI | 1053795435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005603A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28184688A) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 71005603A) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2025-06-11 |