| NPI | 1962883553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN001943) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV TAPRN701135) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2022-01-12 |