| NPI | 1083089874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV aprn002088) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 002088) |
| Enumeration Date | 2015-12-06 |
| Last Update Date | 2021-06-14 |