| NPI | 1073032520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0997990-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0177568) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-09-22 |