NPI | 1952061202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 851156) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 851156) |
Enumeration Date | 2021-12-28 |
Last Update Date | 2024-10-28 |