| NPI | 1578952370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 279863) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 283Q00000X Psychiatric Hospital | |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2021-03-02 |