| NPI | 1639828783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004251-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1073136) |
| 363LS0200X Nurse Practitioner, School (Licence: CO C-APN.0004251-C-NP) | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-01-14 |