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 |