| NPI | 1861968067 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71012738A) | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28232091A) | 
| Enumeration Date | 2018-10-16 | 
| Last Update Date | 2022-10-12 |