| NPI | 1790160448 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN001988)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN001988)  | 
| Enumeration Date | 2015-07-23 | 
| Last Update Date | 2024-01-04 |