| NPI | 1023625688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 845035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN68945) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2021-11-04 |