| NPI | 1043225444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0990892-NP) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0000790) |
| 163W00000X Registered Nurse (Licence: CO RN.0045886) | |
| 364S00000X Clinical Nurse Specialist (Licence: CO APN.0000326-CNS) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-05-30 |