NPI | 1487157707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995456-NP) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11095) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0001390-C-NP) | |
Enumeration Date | 2018-03-13 |
Last Update Date | 2021-11-29 |