| NPI | 1134969116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1000381-NP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO RN.0199454) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-01-28 |