| NPI | 1619307956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 18597) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18597) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC TP18597) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003237-C-NP) | |
| Enumeration Date | 2013-11-23 |
| Last Update Date | 2024-09-16 |