| 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 |