| NPI | 1407325244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11000230) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11000230) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11000230) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002866-C-NP) | |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2023-11-15 |