| NPI | 1255661955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0994292-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 40413) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN0994292-NP) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2024-10-22 |