NPI | 1922731553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004186-C-NP) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO C-APN.0004186-C-NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN10018229) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC007124) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2021047408) | |
Enumeration Date | 2022-07-01 |
Last Update Date | 2025-05-02 |