| NPI | 1477633584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN 001775) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV RN52641) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2015-12-09 |