| NPI | 1043947419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.0172930) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CO RN.0172930) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |