| NPI | 1891397626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011209A) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: IN 28194611A) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2023-10-03 |