| NPI | 1629643820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011227A) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: IN 28237224A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28237224A) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-09-23 |