| NPI | 1316456981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 120130) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993394-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 120130) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO ACPM.0993394-NP) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2025-02-02 |