| NPI | 1306434857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO c-apn.0002874-c-np) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 171924) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-04-20 |