NPI | 1063801876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997304-NP) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO RN.1648866) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0106343-NP) | |
Enumeration Date | 2015-01-16 |
Last Update Date | 2022-05-26 |