| NPI | 1255758389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0104995-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9287881) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9287881) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2025-09-25 |