| NPI | 1871059873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 843611) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010171) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2023-03-16 |