| NPI | 1902464977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71009108A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28225213A) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-09-18 |