| NPI | 1124646203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0102275-C-NP) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: NJ 26NR19682700) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2024-09-26 |