| NPI | 1215053251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 2012019414) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CO 115494) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-02-07 |