| NPI | 1972649275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 883891) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA 318213) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 883891) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-06-24 |