| NPI | 1124790126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 860001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN71632) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2022-11-21 |