| NPI | 1750177366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71017325A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71017325A) |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2026-05-07 |