| NPI | 1407325244 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28111)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11000230)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002866-C-NP)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 28111)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11000230)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002866-C-NP)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11000230)  | |
| Enumeration Date | 2018-11-23 | 
| Last Update Date | 2025-05-06 |