| NPI | 1336856418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101167-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 2612812) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14978100) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11022244) | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-08-20 |