| NPI | 1992959324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV RN75911) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10503825-4405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN001599) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2021-03-23 |