| NPI | 1578064382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11024) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0002422-C-NP) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2024-10-02 |