NPI | 1295947133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 112453) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 112453) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2024-06-18 |