| NPI | 1275883365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 167693) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7534) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0991151-NP) | |
| Enumeration Date | 2012-09-15 |
| Last Update Date | 2016-04-28 |