NPI | 1215389820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021049921) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2022000400) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995362-NP) | |
163W00000X Registered Nurse (Licence: CO 1634453) | |
Enumeration Date | 2016-07-07 |
Last Update Date | 2025-02-06 |