| NPI | 1427697028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 1000005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1650924) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2024-09-16 |