| NPI | 1003210253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0991333-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76536) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2018-06-12 |