| NPI | 1013372390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 19749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102138-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 19749) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020719) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2024-11-22 |