NPI | 1700307337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0999946) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CO 0169073) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2024-07-11 |