| NPI | 1568181303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71014898A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28247227A) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-03-15 |