| NPI | 1124641717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0106948-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2332336) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997966-NP) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2023-03-07 |