| NPI | 1144917899 |
|---|---|
| Former Name | JAYA ROBERT JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209026930) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-08-25 |