| NPI | 1093793291 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0000758-C-NP)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000758-C-NP)  | 
| Enumeration Date | 2006-01-06 | 
| Last Update Date | 2023-03-07 |