| NPI | 1144745563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013064A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003077A) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-12-12 |