| NPI | 1770161978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101779-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 904498) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-07-16 |