| NPI | 1245952530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71013250B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28153625A) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: IN 28153625A) | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-02-20 |