| NPI | 1497294102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0101086-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN158171) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN158171) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2024-10-10 |