| NPI | 1053682385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0991123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 161849) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2023-01-03 |