| NPI | 1215389820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995362-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1634453) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2020-04-13 |