| NPI | 1184853715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0010022-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 10022) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2022-04-27 |