| NPI | 1568997757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN-0004366-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 113250) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 238135) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-01-23 |