| NPI | 1104364744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0992942-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN. 1631584) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-04-10 |