| NPI | 1669046363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11013853) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9482930) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003020-C-NP) | |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-10-09 |