| NPI | 1205994951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0996102-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 116964) |
| 367A00000X Advanced Practice Midwife (Licence: CO CNM4129) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-04-30 |