| NPI | 1386914273 |
|---|---|
| Former Name | BONNIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 57131) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 29472) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2025-09-09 |