| NPI | 1174990766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002911-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000206314) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20648) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2021-09-21 |