| NPI | 1245588532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC005201) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CO 172527) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD ACOO5201) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2023-12-13 |