| NPI | 1740959493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71012953A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28239735A) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2022-08-26 |