| 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 |