NPI | 1588051213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 857793) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 857793) |
163W00000X Registered Nurse (Licence: MN R 218003-8) | |
Enumeration Date | 2015-04-21 |
Last Update Date | 2024-01-11 |