| NPI | 1043526072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0992225) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 95322) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2016-06-24 |