| NPI | 1043821903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 9778) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995767-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995767-NP) | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2024-04-15 |