| NPI | 1245799592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998956-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 121016) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2024-08-20 |