| NPI | 1710630025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11017446) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0002270-C-NP) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2023-05-11 |