| NPI | 1952046435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1074842) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0002107-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 76684) | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2024-05-02 |