NPI | 1124641717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0106948-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2332336) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997966-NP) | |
Enumeration Date | 2020-05-18 |
Last Update Date | 2023-03-07 |