| NPI | 1164888707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 13430769-4405) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0000702-C-NP) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2023-10-30 |