| NPI | 1114796786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN0103832-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 478126) |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2025-03-11 |