| NPI | 1568692986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0100944-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000499) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP134943) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2024-09-23 |