| NPI | 1083224695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0995770-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1666993) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2024-04-22 |