| NPI | 1689026502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-APN.0000748-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 839799) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP131142) | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2022-05-09 |