| NPI | 1033470711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004349-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121600) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 68654) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 68654) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004349-C-NP) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2025-09-11 |