| NPI | 1306164611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0991148) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 183246) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2021-03-18 |