| NPI | 1205495686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71009090A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009090A) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-01-15 |