| NPI | 1912687310 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71015459A) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1128451) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71015459B) | |
| Enumeration Date | 2023-07-20 | 
| Last Update Date | 2025-06-11 |