| NPI | 1023249737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 14204040-4405) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407494) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0103760-C-NP) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2025-08-28 |