| NPI | 1225688914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R247992) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NV RN91367) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV RN91367) | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2021-08-20 |