| NPI | 1194010686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN0992481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 32687) |
| 163W00000X Registered Nurse (Licence: CA 755383) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN0992481-NP) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-03-04 |