| NPI | 1538769773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997760-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041366496) |
| 163W00000X Registered Nurse (Licence: CO RN.1683114) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209024659) | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2024-06-05 |