| NPI | 1720566953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997476-NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ME RN68866) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2324289) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 60024) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-06-23 |