| NPI | 1083167019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998211-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH OH-426786) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2022-11-11 |