| NPI | 1144778507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4026865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1642755) |
| 163W00000X Registered Nurse (Licence: TN 210179) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0992780-NP) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-10-02 |