NPI | 1396293841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 821513) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 821513) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 821513) | |
Enumeration Date | 2016-09-13 |
Last Update Date | 2024-04-18 |