| NPI | 1497093561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 8166518-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 8166518-3102) |
| 164W00000X Licensed Practical Nurse (Licence: UT 81665183101) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993395) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 8166518-8900) | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2022-09-13 |