| NPI | 1053179937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999726-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1621768) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-05-25 |