NPI | 1194124420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998741-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0200392) |
Enumeration Date | 2014-08-22 |
Last Update Date | 2024-06-05 |