| NPI | 1053955500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0104597-NP) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CO 1629851) |
| 163WC1500X Registered Nurse, Community Health (Licence: CO 1629851) | |
| 163W00000X Registered Nurse (Licence: CO 1629851) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2024-01-26 |