| NPI | 1871820985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 60706003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN33983) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APN0001415) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2020-11-10 |