| NPI | 1134496888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO NP-990209) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 990209) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2014-01-14 |