| NPI | 1417725748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71014764A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28237665A) |
| 163W00000X Registered Nurse (Licence: IL 041517287) | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |