| NPI | 1679462436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28251837C) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71017066A) |
| Enumeration Date | 2025-06-28 |
| Last Update Date | 2025-11-07 |