NPI | 1033470711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004349-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 68654) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004349-C-NP) | |
363LF0000X Nurse Practitioner, Family (Licence: TX AP121600) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 68654) | |
Enumeration Date | 2012-05-30 |
Last Update Date | 2023-11-20 |