| NPI | 1841920584 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV PA2695) | 
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical | 
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-06-15 | 
| Last Update Date | 2025-10-02 |