| NPI | 1639957681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71014449A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28208733A) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-10-11 |