| NPI | 1861825341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 821437) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704289083) |
| 163W00000X Registered Nurse (Licence: NV RN99594) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2020-06-30 |