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 |