| 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 |