| NPI | 1902278476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 01038772A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005765A) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2023-12-21 |