| NPI | 1205723806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 894262) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN96088) |
| 163W00000X Registered Nurse (Licence: CA 95145299) | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-10-14 |