| NPI | 1164968277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0993608-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 3309432) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN3309432) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2020-09-25 |