| NPI | 1801319231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71007248A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007248A) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-03-08 |