NPI | 1396221362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |