NPI | 1417689670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-81354-121) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997678-NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023039618) | |
Enumeration Date | 2022-06-27 |
Last Update Date | 2024-01-09 |