| NPI | 1851964894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011334A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28231829A) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-12-18 |