| NPI | 1144696899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998202-NP) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CO RN.0183050) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0107217-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0998202NP) | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2025-03-04 |