| NPI | 1518550136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010758A) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 71010758A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 71010758A) | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2024-03-18 |