NPI | 1619247681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 812973) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN57117) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2024-07-02 |