| NPI | 1215370754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990642-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0990642-NP) |
| 163W00000X Registered Nurse (Licence: CO RN.0140660) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2026-03-19 |