| NPI | 1639729056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1000364-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406959-01) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 44637) | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2025-04-22 |