NPI | 1326535683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV APRN002821) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002821) |
Enumeration Date | 2018-04-21 |
Last Update Date | 2021-03-29 |