NPI | 1033868690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0998894) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO RN0202097) |
Enumeration Date | 2022-03-21 |
Last Update Date | 2023-09-06 |