| NPI | 1083785513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995151-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-01630) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 11076) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-02-16 |