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