| NPI | 1801660089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-RXN.0100925-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2023019766) |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-02-16 |