| NPI | 1659931400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71009064A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28122960A) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2021-01-28 |