| NPI | 1861077398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 838752) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 838752) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 838752) | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2025-01-30 |