| NPI | 1194363093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003868-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1004534) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0002397-C-NP) | |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2026-05-12 |