| NPI | 1215394820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997135-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1627689) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2024-05-20 |