| NPI | 1396221362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 0993991) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0993991-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: CO 0993991) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2023-02-06 |