| NPI | 1922731553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC007124) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN10018229) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2021047408) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO C-APN.0004186-C-NP) | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-01-21 |