| NPI | 1144625211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996460-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1620007) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2021-05-03 |