| NPI | 1477212140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71012560A) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: IN 20-0149891) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-10-11 |