| NPI | 1285314377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0999259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 155411) |
| 163W00000X Registered Nurse (Licence: CO 1693067) | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-11-25 |