| NPI | 1215488846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0992916-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0179775) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2023-08-11 |