NPI | 1164771804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 884346) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV 74321) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2024-11-05 |