| NPI | 1770218232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1000120-NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041436944) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO RN.1698688) | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-09-10 |