| NPI | 1336480243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4902) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003350) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4902) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2024-08-09 |