| NPI | 1326522640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4042933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1658403) |
| 176B00000X Midwife (Licence: CO APN.0994276-CNM) | |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2025-07-28 |