| NPI | 1821822511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71015758A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28248812C) |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-09-16 |