NPI | 1013252758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO RXN.0101194-NP) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 58663) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO RN.0058663) | |
363L00000X Nurse Practitioner (Licence: CO APN.0990710-NP) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0990710-NP) | |
Enumeration Date | 2012-12-06 |
Last Update Date | 2023-03-07 |