| NPI | 1215547286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0995707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995707-NP) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-01-23 |