| NPI | 1730514381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101297-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2375954) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G171992) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2024-04-10 |