| NPI | 1053801647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CO APN.0993898-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0993898-NP) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO ANP.0993898-NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0993898-NP) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2022-03-02 |