| NPI | 1255039574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0998569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0200603) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 0998569) | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2026-01-12 |