| NPI | 1619500097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 45234) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 171039) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002106-C-NP) | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2024-07-22 |