| NPI | 1639842644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904772) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003597-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 294572) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-05-06 |