| NPI | 1467100875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71012510A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28173339C) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018959) | |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2025-12-09 |