| NPI | 1285241828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013526A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000495) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71013526A) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2025-01-10 |