NPI | 1952637795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 841181) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 25039) |
Enumeration Date | 2009-10-29 |
Last Update Date | 2021-07-01 |