| NPI | 1619415874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71010601A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28201839A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN pending) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-12-16 |