| NPI | 1205459310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 831439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN99181) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-09-04 |