| NPI | 1053209817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0104577-C-NP) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO C-APN.0104577-C-NP) |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-07-02 |