NPI | 1790395853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998394-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 234499) |
Enumeration Date | 2020-08-04 |
Last Update Date | 2023-03-09 |