| NPI | 1225646805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 832591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 832591) |
| 207Q00000X Family Medicine (Licence: NV 832591) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95017026) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017026) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-05-18 |