| NPI | 1043734155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0000674-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 11166838-4405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201903732NPPP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP134634) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2020-11-13 |