| NPI | 1275102873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/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 | 2024-02-20 |