| NPI | 1134470099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 27393.1195) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0100257-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 27393.1195) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0100257-C-NP) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2023-02-16 |