| NPI | 1548979511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 53408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1692901) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999325-NP) | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-11-27 |