| NPI | 1255815668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0994172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0201961) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2024-05-23 |