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