| NPI | 1508355173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008139A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184772A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008139A) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2025-09-29 |