| NPI | 1952061202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV 851156) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NV 851156) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2023-12-28 |