| NPI | 1477114890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0176861) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0994796-NP) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-05-24 |