NPI | 1407215809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 814250) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN84178) |
Enumeration Date | 2016-02-15 |
Last Update Date | 2019-02-25 |