| NPI | 1659815603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV APRN822878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL F1116256) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2020-04-10 |