NPI | 1275102873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996677) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003040-C-NP) |
Enumeration Date | 2021-06-18 |
Last Update Date | 2024-07-25 |