| NPI | 1811478225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0995582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1637977) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2022-08-12 |