| NPI | 1093849416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 510) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 184068) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-03-18 |