| NPI | 1083990121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO RXN.0100543-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0990404-NP) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2013-02-28 |