| NPI | 1245857952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV 835379) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID 53260) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID TEMP53260) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2022-09-06 |