| NPI | 1144622168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 991297) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704273496) |
| 163W00000X Registered Nurse (Licence: CO 1626779) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2019-08-17 |