| NPI | 1740948470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA RN803942) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.1000890-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1000890-NP) | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2025-09-09 |