| NPI | 1851317507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996465-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128201) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 513394) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996465-NP) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-01-23 |