| NPI | 1053648428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0994182-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 165221) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APN001482) | |
| 163W00000X Registered Nurse (Licence: NV RN24506) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2020-12-17 |