| NPI | 1073817375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 0991527) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1630341) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2015-01-12 |