| NPI | 1215782404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0104954-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1007080) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2025-10-14 |