| NPI | 1932139482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0103871-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1818372) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 13421220-4405) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2025-07-16 |