NPI | 1508245028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003842-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012884) |
363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209012884) | |
Enumeration Date | 2015-05-29 |
Last Update Date | 2025-04-30 |