| NPI | 1871752303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 816203) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 3584) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 3584) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2020-09-08 |