| NPI | 1912491168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV RN80646) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: HI APRN2443) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-03-12 |