| NPI | 1912328378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404027) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1623528) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3014600) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0994762-NP) | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2024-05-17 |