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 |