| NPI | 1821247289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN01644-CNP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21110) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 01644-C-NP) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2023-01-20 |