| NPI | 1952537649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 814887) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 18946) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 18946) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 814887) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18946) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2023-02-07 |