| NPI | 1225005390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 99981) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0004533-NP) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0004533-NP) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2024-06-13 |