NPI | 1528505427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 871748) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-01-30 |
Last Update Date | 2024-05-10 |